NR 464 - Exam 1 (Saunders) - Liver, Pancreas, Gallbladder
Questions With Complete Solutions
A client admitted to the hospital with a suspected diagnosis of
acute pancreatitis is being assessed by the nurse. Which
assessment findings would be consistent with acute pancreatitis?
Select all that apply.
1. Diarrhea
2. Black, tarry stools
3. Hyperactive bowel sounds
4. Gray-blue color at the flank
5. Abdominal guarding and tenderness
6. Left upper quadrant pain with radiation to the back Correct
Answers 4. Gray-blue color at the flank
5. Abdominal guarding and tenderness
6. Left upper quadrant pain with radiation to the back
Grayish-blue discoloration at the flank is known as Grey-
Turner's sign and occurs as a result of pancreatic enzyme
leakage to cutaneous tissue from the peritoneal cavity. The client
may demonstrate abdominal guarding and may complain of
tenderness with palpation. The pain associated with acute
pancreatitis is often sudden in onset and is located in the
,epigastric region or left upper quadrant with radiation to the
back. The other options are incorrect.
A client has developed hepatitis A after eating contaminated
oysters. The nurse assesses the client for which expected
assessment finding?
1. Malaise
2. Dark stools
3. Weight gain
4. Left upper quadrant discomfort Correct Answers 1. Malaise
A client has undergone esophagogastroduodenoscopy (EGD).
The nurse should place highest priority on which item as part of
the client's care plan?
1. Monitoring the temperature
2. Monitoring complaints of heartburn
3. Giving warm gargles for a sore throat
4. Assessing for the return of the gag reflex Correct Answers
4. Assessing for the return of the gag reflex
**Except with esophageal varices
,A client is admitted to the hospital with a diagnosis of acute
pancreatitis. Which would the nurse expect the client to report
about the pain?
1. Eating helps to decrease the pain.
2. The pain usually increases after vomiting.
3. The pain is mostly around the umbilicus and comes and goes.
4. The pain increases when the client sits up and bends forward.
Correct Answers 2. The pain usually increases after vomiting.
A client is admitted to the hospital with acute viral hepatitis.
Which sign or symptom should the nurse expect to note based
on this diagnosis?
1. Fatigue
2. Pale urine
3. Weight gain
4. Spider angiomas Correct Answers 1. Fatigue
A client is diagnosed with viral hepatitis, complaining of "no
appetite" and "losing my taste for food." What instruction should
the nurse give the client to provide adequate nutrition?
1. Select foods high in fat.
, 2. Increase intake of fluids, including juices.
3. Eat a good supper when anorexia is not as severe.
4. Eat less often, preferably only 3 large meals daily. Correct
Answers 2. Increase intake of fluids, including juices.
Although no special diet is required to treat viral hepatitis, it is
generally recommended that clients consume a low-fat diet, as
fat may be tolerated poorly because of decreased bile
production. Small, frequent meals are preferable and may even
prevent nausea. Frequently, appetite is better in the morning, so
it is easier to eat a good breakfast. An adequate fluid intake of
2500 to 3000 mL/day that includes nutritional juices is also
important.
A client is experiencing blockage of the common bile duct.
Which food selection made by the client indicates the need for
further teaching?
1. Rice
2. Whole milk
3. Broiled fish
4. Baked chicken Correct Answers 2. Whole milk
Bile acids or bile salts are produced by the liver to emulsify or
break down fats. Blockage of the common bile duct impedes the
flow of bile from the gallbladder to the duodenum, thus
Questions With Complete Solutions
A client admitted to the hospital with a suspected diagnosis of
acute pancreatitis is being assessed by the nurse. Which
assessment findings would be consistent with acute pancreatitis?
Select all that apply.
1. Diarrhea
2. Black, tarry stools
3. Hyperactive bowel sounds
4. Gray-blue color at the flank
5. Abdominal guarding and tenderness
6. Left upper quadrant pain with radiation to the back Correct
Answers 4. Gray-blue color at the flank
5. Abdominal guarding and tenderness
6. Left upper quadrant pain with radiation to the back
Grayish-blue discoloration at the flank is known as Grey-
Turner's sign and occurs as a result of pancreatic enzyme
leakage to cutaneous tissue from the peritoneal cavity. The client
may demonstrate abdominal guarding and may complain of
tenderness with palpation. The pain associated with acute
pancreatitis is often sudden in onset and is located in the
,epigastric region or left upper quadrant with radiation to the
back. The other options are incorrect.
A client has developed hepatitis A after eating contaminated
oysters. The nurse assesses the client for which expected
assessment finding?
1. Malaise
2. Dark stools
3. Weight gain
4. Left upper quadrant discomfort Correct Answers 1. Malaise
A client has undergone esophagogastroduodenoscopy (EGD).
The nurse should place highest priority on which item as part of
the client's care plan?
1. Monitoring the temperature
2. Monitoring complaints of heartburn
3. Giving warm gargles for a sore throat
4. Assessing for the return of the gag reflex Correct Answers
4. Assessing for the return of the gag reflex
**Except with esophageal varices
,A client is admitted to the hospital with a diagnosis of acute
pancreatitis. Which would the nurse expect the client to report
about the pain?
1. Eating helps to decrease the pain.
2. The pain usually increases after vomiting.
3. The pain is mostly around the umbilicus and comes and goes.
4. The pain increases when the client sits up and bends forward.
Correct Answers 2. The pain usually increases after vomiting.
A client is admitted to the hospital with acute viral hepatitis.
Which sign or symptom should the nurse expect to note based
on this diagnosis?
1. Fatigue
2. Pale urine
3. Weight gain
4. Spider angiomas Correct Answers 1. Fatigue
A client is diagnosed with viral hepatitis, complaining of "no
appetite" and "losing my taste for food." What instruction should
the nurse give the client to provide adequate nutrition?
1. Select foods high in fat.
, 2. Increase intake of fluids, including juices.
3. Eat a good supper when anorexia is not as severe.
4. Eat less often, preferably only 3 large meals daily. Correct
Answers 2. Increase intake of fluids, including juices.
Although no special diet is required to treat viral hepatitis, it is
generally recommended that clients consume a low-fat diet, as
fat may be tolerated poorly because of decreased bile
production. Small, frequent meals are preferable and may even
prevent nausea. Frequently, appetite is better in the morning, so
it is easier to eat a good breakfast. An adequate fluid intake of
2500 to 3000 mL/day that includes nutritional juices is also
important.
A client is experiencing blockage of the common bile duct.
Which food selection made by the client indicates the need for
further teaching?
1. Rice
2. Whole milk
3. Broiled fish
4. Baked chicken Correct Answers 2. Whole milk
Bile acids or bile salts are produced by the liver to emulsify or
break down fats. Blockage of the common bile duct impedes the
flow of bile from the gallbladder to the duodenum, thus
